Yeoman, A.; Dew, M. J.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA57
Academic Journal
Authors set out to ascertain whether a careful history should provide the diagnosis of dysphagia in 80% of cases, in the setting of a district general hospital. Authors prospectively looked at all referrals for dysphagia from May 2002 to October 2003. Patients were excluded if they had either a previous history of dysphagia or prior investigation. The history was obtained with particular reference to the site of dysphagia, duration and constancy, progression, weight loss, reflux symptoms, and if dysphagia was to solids or liquids. A clinical diagnosis was made and investigations were carried out to confirm or refute this. In the experience of authors the clinical history remains highly accurate at predicting the diagnosis of dysphagia. Importantly a combination of weight loss and progressive symptoms shows a higher rate of neoplasia than either symptom alone. Dysphagia to liquids makes a diagnosis of dysmotility likely while reflux symptoms strongly correlate with acid related disorders.


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